NPI | 1215292263 |
---|---|
Former Name | LINSDAY E DAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60579773) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60579773) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2022-09-22 |